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1407293749
TIMOTHY MICHAEL JACOBS
SAN FRANCISCO, CA
NPI
1407293749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36563)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
-- TIMOTHY MICHAEL JACOBS
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 415-681-3211
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Mailing Address
-- TIMOTHY MICHAEL JACOBS
3204 SHATTUCK AVE
BERKELEY, CA 94705-1825
Phone number: 415-913-0303
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